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HomeMy WebLinkAboutContract 52140-FP1 City Secretary 52140 -FP1 Contract No. FORTWORTH., Date Received May 14,2020 NOTICE OF PROJECT COMPLETION (Developer Projects) The Transportation and Public Works Department upon the recommendation of the Project Manager has accepted the following project as complete: Project Name: FOSSIL CREEK INDUSTRIAL City Project No.: 101872 Improvement Type(s): Water ® Sewer Original Contract Price: $13,344.00 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $13,344.00 Apr17,2020 Contractor Date Project Manager Title CalHar Construction, Inc. Company Name Imazi Jesse Ekvis(May 12,2020) May 12,2020 Project Inspector Date Kha[Jaafari(May 3,2020) May 13,2020 Project Manager Date Z_aa` Z_az May 14,2020 CFA Manager Date Dana Burandaff Dana Burghdoff ay14,202015:55CDr) May 14,2020 Asst. City Manager Date OFFICIAL RECORD Page 1 of 2 CITY SECRETARY FT.WORTH, TX Notice of Project Completion Project Name: FOSSIL CREEK INDUSTRIAL City Project No.: 101872 City's Attachments Final Pay Estimate Change Order(s): ❑ Yes ® N/A Pipe Report: ® Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 40 CD Days Charged: 269 Work Start Date: 5/20/2019 Work Complete Date: 2/12/2020 Page 2of2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name FOSSIL CREEK INDUSTRIAL Contract Limits Project Type WATER&SEWER City Project Numbers 101872 DOE Number 1872 Estimate Number 1 Payment Number 1 For Period Ending 4/9/2020 CD City Secretary Contract Number Contract Time 40D Contract Date Days Charged to Date 269 Project Manager NA Contract is 100.00 Complete Contractor CALHAR CONSTRUCTION INC 2138 CALHAR DR MELISSA, TX 75454-2875 Inspectors DICKINSON/ ROGERS Thursday,April 9,2020 Page 1 of 4 City Project Numbers 101872 DOE Number 1872 Contract Name FOSSIL CREEK INDUSTRIAL Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 4/9/2020 Project Funding WATER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 TRENCH SAFETY 41 LF $5.00 $205.00 41 $205.00 2 8"PVC WATER PIPE 41 LF $24.00 $984.00 41 $984.00 3 2"WATER SERVICE 2 EA $2,625.00 $5,250.00 2 $5,250.00 4 8"GATE VALVE 1 EA $1,735.00 $1,735.00 1 $1,735.00 5 PAVING REMOVAL 260 SF $3.50 $910.00 260 $910.00 6 CONCRETE PAVING 260 SF $6.50 $1,690.00 260 $1,690.00 -------------------------------------- Sub-Total of Previous Unit $10,774.00 $10,774.00 -------------------------------------- SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 TRENCH SAFETY 9 LF $50.00 $450.00 9 $450.00 2 6"SEWER PIPE 9 LF $45.00 $405.00 9 $405.00 3 POST CCTV INSPECTION 9 LF $10.00 $90.00 9 $90.00 4 CONNECT TO EXISTING MANHOLE 1 EA $1,625.00 $1,625.00 1 $1,625.00 -------------------------------------- Sub-Total of Previous Unit $2,570.00 $2,570.00 -------------------------------------- Thursday,April 9,2020 Page 2 of 4 City Project Numbers 101872 DOE Number 1872 Contract Name FOSSIL CREEK INDUSTRIAL Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 4/9/2020 Project Funding Contract Information Summary Original Contract Amount $13,344.00 Change Orders Total Contract Price $13,344.00 Total Cost of Work Completed $13,344.00 Less %Retained $0.00 Net Earned $13,344.00 Earned This Period $13,344.00 Retainage This Period $0.00 Less Liquidated Damages Days @ /Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $13,344.00 Thursday,April 9,2020 Page 3 of 4 City Project Numbers 101872 DOE Number 1872 Contract Name FOSSIL CREEK INDUSTRIAL Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 4/9/2020 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON/ ROGERS Contract Date Contractor CALHAR CONSTRUCTION INC Contract Time 40 CD 2138 CALHAR DR Days Charged to Date 269 CD MELISSA, TX 75454-2875 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded -------------------------------------- Total Cost of Work Completed $13,344.00 Less %Retained $0.00 Net Earned $13,344.00 Earned This Period $13,344.00 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 /Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $13,344.00 Thursday,April 9,2020 Page 4 of 4 FORT WORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Fossil Creek Industrial PROJECT NUMBER: 101872 DOE NUMBER: WATER PIPE LAID SIZE TYPE OF PIPE LF WATER 8" PVC C900 41 FIRE HYDRANTS: N/A VALVES(16"OR LARGER) N/A PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF SEWER 6" HDPE 9 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS 3 � The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817) 392-7941 •Fax: (817) 392-7845 AFFIDAVIT STATE OF Texas COUNTY OF Collin Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Don P Callaham, President Of CalHar Construction, Inc.,, known to pine to be a credible person, who being by me duly sworn,upon his oath deposed and said; That all persons, firms, associations, corporations, or other organizations furnishing labor and/or materials have been paid in full; That the wage scale established by the City Council in the City of Fort Worth has been paid in full; That there are no claims pending for personal injury and/or property damages; On Contract described as; Commercial Underground Site Utilities �on �lha�mPsident Subscribed and sworn before me on this date 17th of April, 2020. r Notary Public Collin County Texas RHONDA GAY i_IGHTNER Notary ID#7535786 My Commission Expires MarEh 9,2021 e CONSENT OF OWNER SURETY COMPANY ARCHITECT TO FINAL PAYMENT CONTRACTOR SURETY AIA DOCUMENT G707 OTHER Bond No. 22$4055 PROJECT: Water& Sanitary Sewer for Fossil Creek Industrial,City Project 101872-Fort Worth,TX (name,address) TO(Owner) [ City of Fort Worth ] ARCHITECT'S PROJECT NO: 200 Texas Street Fort Worth,TX 76102 CONTRACT FOR: Fossil Creek Industrial ] CONTRACT DATE: CONTRACTOR: CaiHar Construction,Inc. 2138 Ca1Har Dr. Melissa,TX 75454 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (here insert name and address of Surety Company) North American Specia ty Insurance Company 1200 Main Street,Suite 800 SURETY COMPANY, Kansas City,MO 6410 on bond of(here insert name and address of Contractor) CalHar Construction,Inc. 2138 CaMar Dr. , CONTRACTOR, Melissa,TX 75454 hereby approves of the final payment to the ontractors,and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligation to (here insert name and address of Owner) City of Fort Worth 200 Texas Street ,OWNER, Fort Worth,TX 76102 as set forth in the said Surety Company's bo id. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 10th day of April 2Q20 North American Specialty Insurance Company Surety Company Signature of Authorized Representative Attest: Debra Lee Moon Attorney-In-Fact (Seal): Title NOTE: This form is to be used as a companion document t AIA DOCUMENT G706,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition AIA DOCUMENT G707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT APRIL 1970 EDITION AIA ONE PAGE 1970 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 New York Ave.,NW,WASHINGTON,D.C_ 20006 SWISS RE CORPORATE SOLUTIONS NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY WESTPORT INSURANCE CORPORATION ENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,TRAT orth American Specialty Insurance Company,a corporation duly organized and existing under laws of the State ofNew Hampshire,and havin its principal office in the City of Kansas City,Missouri and Washington International Insurance Company a corporation organized and exisi•»g under the laws of the State of New Hampshire and having its principal office in the City the City s City, Missouri iss tyMissouri,and Wstpoclrti nsurandoes hereby make Lion,oga and appoint he laws of the State of Missouri and having its principal office m as JOHN WILLIAM NEWSY,TROY RUSSELL KEY,DEB RA LEE MOON,ANDREA ROSE CRAWFORD,SANDRA LEE RONEY,LINDA MICHELLE STALDER SUZANNE ELIZABETH NMDZWIEDZ,SHEBJE T%UCHELLE GREENOUGI- CHERI LYNN IRBY.AND JOSHUA D.T'RITT,JOINTLY OR SEVERALLY Its true and lawful Attorney(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each o said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contractor otherwise,provided that n bond or undertaking or contractor suretyship executed under this authority sbalt exceed the amount of TWO MJNDRED MILLION($200,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on March 24,2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18,2011. "RESOLVED,that any two of the President,any Senior Vice President,any Vice President,any Assistant Vice President the Secretary or any Assistant Secretary be,and each r any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any uch Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature ofsi ich officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." a+ G1ALTY ONnA(�y4y �o IrF. �4 ti:or-G g -W.• {ti�A� �s Y_O C,�x` Q` Ste n _ n rsoq sor 1�- ton lntcialty ono insurance Company C;,i ti] j� SEAL n— &Senior Vice President of North American Specialty insurance Company:rn= &SeniorVisaPresidentfWestport losuanteCorporationt973BY _�� *.. s SN el A. to, enor�'9�•a,...*uW+^se� �roairnmmam�° &Senior vice President of NortmhpAmesicau Speeislty lmmnoce Company &Senior Vice President of Westport Insurance Corporation IN WITNESS WIIF.REOF,North American S cialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this this 12th day of FEBRUARY 2020 - North American Specialty Insurance Company Washington International Insurance Company State of Illinois estport Insurance Corporation County of Cook ss: On this 12th day of FEBRiJAR 20�before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and E enior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation and Michael A.Itc Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company d Senior Vice President of Westport Insurance Corporation,personally known to me, who being by me duly sworn,acknowledged that they s gned the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companie - OFFICIAL SEAL �• M.KENNY Nutary AuUlic-State of Ifli�mis My Commasian Fgpiu.l M.Kenny,Notary Public 97J64l2021 1, Jeffrey Goldberg , the duly elected Vice President and Assistant Secretary of North American Specialty Insurance Company,Washington International Insurance Company and Westport Ins ce Corporation do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance_ Corporation which is still in full force and effect. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this 10th day o f April 20 20 7eL Goldberg,Vice President&Assistant Secretary of Washington International insurancc Company& North American Sr•softy Insurance Company&Vice President&Assistant Secretory of wegma insurance Corporaiion North American Specialty Insurance Company Washington International Insurance Company Westport Insurance Corporation TEXAS CLAIMS INFORMATION In order to obtain information or make a complaint: Para obtener information o para someter un queja: You may contact Jeffrey Goldberg,Vice President Puede comunicarse con Jeffrey Goldberg,Vice -- Claims at 1-800-338-0753 President— Claims,al 1-800-338-0753 You may tail Washington International Insurance Usted puede llamr al numeeo de telefono gratis de Company and/or North American Specialty Insurance Washington International Insurance Company and/or Company's and/or Westport Insurance Corporation North American Specialty Insurance Company's and/or toll-free number for information or to mace a Westport Insurance Corporation para informacion o complaint at: para someter una queja al: 1-800-338-0753 1-800-338-0753 You may also write to Washington Internlational Usted tambien puede escribir a Washington Insurance Company and/or North American Specialty International Insurance Company and/or North Insurance Company and/or Westport Insurance American Specialty Insurance Company and/or Corporation at the following address: Westport Insurance Corporation al: 1450 American Lane I 1450 American Lane Suite 1100 Suite 1100 Schaumburg, IL 60173 Schaumburg, IL 60173 You may contact the Texas Department of Insurance Puede escribir al Departmento de Seguros de Texas to obtain information on companies, coverages, para obtener informacion acerca de companias, rights or complaints at: coberturas,derechos o quejas al: 1-800-2 52-343 9 1-800-2 5 2-343 9 You may write the Texas Department ofi Insurance: Puede escribir al Departmento de Seguros de Texas: P.O. Box 149104 P.O. Box 149104 Austin,TX 78714-9104 Austin,TX 78714-9104 Fax: (512) 475-1771 Fax: (512)475-1771 Web: Web: Email:ConsumerProtection@tdi.state.tx.us Email:ConsumerProtection@tdi.state.tx.us PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE pRIMAS O RECLAMOS: Should you have a dispute concerning your premium Si tiene una disputa concerniente a su prima o a un or about a claim you should first contact the reclamo, debe comunicarse con el Washington Washington International Insurance Company and/or International Insurance Company and/or North North American Specialty Insurance Company and/or American Specialty Insurance Company and/or Westport Insurance Corporation. If the dispute is not Westport Insurance Corporation primero. Si no se resolved,you may contact the Texas Department of resuelve la disputa, puede entonces comunicarse Insurance. con el Departmento de Seguros de Texas. ATTACH THIS NOTICE TO YOUR POLICY: UNA ESTE AVISO A SU POLI7.A This notice is for information only and does not Este aviso es solo para proposito de infromacion y no become a part or condition of the attached se converte en parte o condition del documento document. adjunto.